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JCM
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Current Trends in Hand Surgery
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Current Trends in Hand Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 31 October 2025 | Viewed by 675

Special Issue Editors

Dr. Alexandre Kaempfen

E-Mail Website
Guest Editor
Department of Plastic and Hand Surgery, University Hospital of Basel, 4031 Basel, Switzerland
Interests: bone tissue engineering; paediatric hand surgery; minimally invasive hand surgery; microsurgical reconstruction
Dr. Florian Frueh

E-Mail Website
Guest Editor
Department of Plastic Surgery and Hand Surgery, Cantonal Hospital Aarau, Aarau, Switzerland
Interests: microsurgical reconstruction; peripheral nerve surgery; brachial plexus surgery; nerve transfer; mangled hand; replantation

Special Issue Information

Dear Colleagues,

Practitioners in hand surgery strive for excellence and have transformed this field in small increments over recent years. These changes show a trend towards minimally invasive procedures for common pathologies, which increase patient comfort and minimise side effects. Examples include arthroscopic and sonography-controlled procedures or customized small free tissue transfers. Currently, well-trained hand surgeons are applying orthopaedic, plastic, and microsurgical techniques and conservative treatments to improve outcomes. We invite researchers and clinicians to contribute to this Special Issue and share the latest developments in the reconstruction and improvement of hand functions.

Dr. Alexandre Kaempfen
Dr. Florian Frueh
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • microsurgery
  • minimally invasive
  • arthroscopy
  • sonography
  • nerve surgery
  • joint replacement

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Published Papers (1 paper)

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Research

14 pages, 6490 KB  
Article
Dorsal Cortical Alignment Predicts Functional Outcomes in Proximal Phalangeal Fractures Treated with Intramedullary Headless Compression Screws but Not in Metacarpal Fractures
by Bert Vanmierlo, Hans Lowyck, Charles Matthys, Tim Vanmierlo, Joris Duerinckx and Bert O. Eijnde
J. Clin. Med. 2025, 14(13), 4691; https://doi.org/10.3390/jcm14134691 - 2 Jul 2025
Viewed by 381
Abstract
Background/Objectives: Intramedullary headless compression screw (IMHCS) fixation has emerged as a minimally invasive and biomechanically robust method for treating metacarpal and proximal phalangeal fractures. While the clinical outcomes are generally favorable, the impact of anatomical fracture reduction on postoperative function has not [...] Read more.
Background/Objectives: Intramedullary headless compression screw (IMHCS) fixation has emerged as a minimally invasive and biomechanically robust method for treating metacarpal and proximal phalangeal fractures. While the clinical outcomes are generally favorable, the impact of anatomical fracture reduction on postoperative function has not been systematically examined. Methods: We retrospectively analyzed 69 patients (41 metacarpal, 28 proximal phalanx) treated with IMHCSs between June 2020 and March 2025. Fractures were classified radiographically as reduced or non-reduced. Functional outcomes were assessed using the Total Active Motion (TAM) scoring system. The association between the reduction quality and TAM outcome was analyzed separately for metacarpal and proximal phalangeal fractures using the Fisher–Freeman–Halton exact test. Results: All fractures achieved radiographic union. In the metacarpal fractures, 90% of the patients attained good-to-excellent TAM scores, with no statistically significant association between the reduction quality and functional outcome (p = 0.1303). In contrast, for the proximal phalangeal fractures, anatomical reduction was significantly associated with superior TAM outcomes (p = 0.0014; Cohen’s w = 0.802). The postoperative radiographs in this group revealed smooth dorsal cortical alignment in the patients with good outcomes, suggesting preserved tendon gliding surfaces. Conclusions: Anatomical fracture reduction significantly predicts postoperative function in proximal phalangeal fractures treated with IMHCSs. In contrast, metacarpal fractures appear more tolerant of minor malalignment. These findings underscore the importance of achieving cortical continuity in phalangeal fractures to optimize digital biomechanics. A minimal open approach should be considered to ensure proper alignment during IMHCS fixation. Full article
(This article belongs to the Special Issue Current Trends in Hand Surgery)
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